Questions 
& 
Answers 
in 
Greater 
Detail

How 
are 
your 
services 
paid 
for?

All 
of 
our 
services 
are 
“waiver 
eligible” 
meaning 
that 
the 
Home
 and 
Community
 Based 
Waiver 
Program 
pays 
for 
the 
services 
as 
needed. 

This 
funding 
is 
accessed
 through 
Medical 
Assistance 
or 
PMAP 
programs. 
We 
typically 
accept 
CADI
 (Community 
Alternatives
 for
 Disabled 
Individuals), 
CAC
 (Community 
Alternative
 Care)
 and 
BI (Brain Injury) waivers (formerly TBI waiver). 

We 
also 
accept 
private
 pay.

Where 
are 
your 
residential 
sites?

Our 
residential
 sites 
are 
in 
both 
Dakota 
and 
Hennepin 
Counties. 
We 
have 
sites 
in
 Burnsville, 
Eagan, 
Rosemount 
and 
Bloomington. 

We 
work 
within 
the
 neighborhoods 
of 
each
 residential 
site 
to 
build 
strong
 relationships 
that 
reflect 
our
 desire 
to 
be 
a 
part 
of 
the 
community. 

Many 
of 
the 
individuals 
who 
reside 
in 
our residential 
sites 
also
 share 
in 
this
 desire.

What 
is 
the 
process 
to 
place 
an 
individual 
in 
one 
of 
our 
residential 
sites?

The 
first 
step 
in 
placement 
is 
ensuring 
that 
the 
individual 
is 
fit 
for 
our 
services. 

We
 assess 
this
 by 
reviewing 
the 
individual’s 
history 
and 
meeting 
with 
the 
individual 
one
 on 
one 
where 
they 
are 
currently
 placed.
 
Once 
we 
have 
established 
that 
the
 individual 
is 
fit 
for 
our 
services 
we 
work 
with 
the 
case 
manager 
or 
social 
worker 
on
 securing 
funding. 

When 
funding 
has 
been
 secured 
we 
begin 
developing 
placement
 paperwork
 and 
programming 
that 
the 
individual 
will
 need 
while 
in 
placement. 

The
 next 
step
 is 
to 
schedule 
a 
placement 
date 
and 
a
 meeting 
to 
sign
 all 
of 
the 
paperwork. The 
entire 
placement 
process 
may 
take 
any where 
from 
several 
days 
to 
three 
weeks depending 
on 
the 
needs
 of
 both 
our 
agency 
and 
the 
individual 
being 
placed.

What 
makes 
us 
unique?

Our 
residential 
services 
are 
rehabilitative,
 meaning
 that 
our 
objective
 is
 to 
support,
 teach 
and
 help
 manage 
the 
individual’s 
needs 
and 
goals 
for 
independence.

 Rehabilitation 
is 
the 
process 
of 
assisting 
the 
person 
in 
regaining 
abilities 
they 
may
 have 
lost 
due 
to 
mental 
illness, 
injury 
or 
another 
traumatic 
event. 

Our 
staff
 is
 specifically 
trained 
using 
guided 
techniques 
that
 provide 
a
 rehabilitative
 environment.

 Because 
our 
goal 
is 
rehabilitation, 
we 
offer 
several 
different 
levels 
of
 care. 

Our 
more 
intensive 
environments 
are 
for 
those 
individuals 
who
 are 
in 
need 
of
 significant 
structure 
and 
support.
 
Our 
less
 intensive 
environments 
are 
for 
those individuals 
who 
may
be 
fairly
 independent; 
however 
still 
need
 assistance 
and support
 from 
staff. 

We 
call 
our 
model 
“rehabilitative 
foster 
care”.

 We 
believe 
that 
when
 an
 individual 
is 
empowered
 and 
able 
to 
move 
towards 
his
 goals 
of 
independence 
they 
will 
display 
more 
motivation 
and 
initiative.

Why 
are 
we 
called 
a 
“rehabilitative 
foster 
care”?

We
 call 
our selves 
“rehabilitative 
foster 
care” 
because 
our 
primary 
focus
 is 
on
 rehabilitation. 

We 
work 
with
 the 
individual 
on 
a 
daily 
basis 
on 
areas 
that 
need
 growth. 
This 
focus 
begins 
in 
the 
morning 
when 
individuals
 wake 
up 
to 
their 
alarm
 clocks 
because 
staff 
has 
worked 
with
 them 
on 
how 
to 
set 
an 
alarm. 

It ends 
in 
the
 evening
 with 
staff 
working 
with 
each 
individual 
on 
his 
mental
 health
 symptom
 management.
 
We 
celebrate 
when 
someone 
in 
our 
facility 
graduates 
and 
is 
able
 to move 
to 
a 
more 
independent 
location. 

We 
see 
this 
as 
a 
great
 success 
and 
are 
proud to 
count 
our 
increasing 
number 
of 
graduates 
from 
our 
program. 

We 
would
 not 
see
 the 
significant 
amount 
of 
graduations 
that 
we
 do 
if 
we 
did 
not 
have 
the rehabilitative 
focus.

How 
is 
your 
staff 
trained?

Each 
staff 
is 
trained 
extensively 
before
 working 
a t
each 
residential 
site.
 
Staff 
is
 trained 
on 
Vulnerable 
Adults, 
Resident 
Rights, 
Mental
 Illness
 signs
 and 
symptoms,
 
Brain 
Injury, 
Crisis 
Intervention,
 Behavior 
Modification, 
Philosophy 
and
 Medication 
Administration. 

Most 
residential 
staff 
has 
significant
 experience 
and
 education 
within 
the 
field. 

Staff 
also 
attend 
bi‐weekly 
staff 
meetings 
where 
training
 is
 the
 primary
 focus. 

In 
addition, 
staff 
work
 with 
Site 
Managers 
and 
the organization’s 
Behavior 
Analyst 
throughout 
their
 employment 
to 
continue developing 
their 
ability 
to 
work 
with 
each 
individual. 

We 
believe 
that
 bringing 
our
 model
 to 
life 
starts 
with
 well 
trained 
staff. 
They
 need 
to 
be 
equipped 
to 
handle 
every
 situation.

Why 
are 
there 
different 
levels 
of 
sites 
with in 
our 
program?

These “levels” signify change for the individual. This change may take the form of different staffing support needs, different peer living arrangements, or different styles of living. Our goal is to help meet people where they are currently, help them determine where they want to go, and then to be a guide on this part of that journey.

Can 
individuals 
who 
have 
sustained 
a 
brain 
injury 
or 
have
 a
diagnosis 
of
 mental 
illness 
“get 
better”?

Yes, 
they 
can! 

A 
diagnosis 
of 
a 
brain 
injury 
or 
a 
mental
 illness 
does 
not 
mean 
that
 the 
individual 
cannot 
lead 
a 
more 
productive 
life 
working 
towards 
his 
goals 
and
 desires. 

Often 
times 
individuals 
believe 
that 
they 
will 
not
 be 
able 
to 
regain
 any 
of
 their 
independence 
nor 
will 
they 
ever 
have
 the
 ability 
to 
do 
many 
of 
the 
things 
they desire-
whether 
that 
includes 
getting 
a 
job, 
traveling 
or 
being 
in 
a 
relationship. 

An
 individual’s 
ability 
may 
be 
different 
due 
to 
their 
diagnosis,
 but 
many 
individuals 
are
 able 
to 
embrace 
their 
new 
circumstances 
and 
find
 a
 path
 to 
reach 
their 
goals 
often times
 with 
support 
from 
family, 
friends 
and 
staff.

 Many 
individuals 
that 
have 
a 
diagnosis 
of 
mental 
illness 
understand 
that 
they
 have
 to
 learn
 about 
their 
disorder, 
develop 
different 
coping 
strategies 
to 
deal 
with 
their
 disorder,
 understand 
their 
medications 
and 
to 
also 
educate 
those
 around 
them
 about 
the 
support 
they 
need. 

An 
individual 
may 
have
 lost
 most 
parts
 of 
his
 lifestyle
 and 
family
 relationships 
that 
they 
had 
prior 
to 
an
accident 
or 
diagnosis. 

Each
 individual 
may
 suffer
 with 
various 
symptoms 
and 
therefore 
need
 to 
modify
 or 
adapt their
 lifestyle 
according
 to 
their 
needs
 now.

What 
does 
it 
mean
 to transition to a more independent setting?

Graduation 
means
 that 
an 
individual
 completes
 goals 
and
 develops
 new
 routines 
to
 be
 able
 to 
move
 out 
of 
a 
more
 intensive 
setting
 into 
a 
less 
intensive 
environment.
 
A
 lesser
 intensive 
environment 
means 
that
 there 
is 
less 
staff 
and 
structure 
needed
 for
 the 
individual 
to 
function
 independently 
and 
successfully.
 
The 
individual 
has 
been
 able
 to 
incorporate 
the 
new 
skills, 
routines, 
coping
 skills
 and 
recovery 
into 
his 
daily
 life. 

Many 
of 
the 
individuals 
graduating 
from 
our 
Level 
4/5 
facilities 
move 
into
 a
 Level 
3
 facility.
 
Others 
may 
move 
into 
other 
programs 
that 
are 
less 
intensive 
or 
into
 their 
own
 apartments 
with 
support. 

We 
are 
very 
thoughtful
 with 
each 
graduation
 by 
making 
sure 
that 
the 
individual 
has 
the 
right 
resources 
and 
is 
ready 
for 
increased
 independence,
 so 
they 
can 
continue
 to 
be 
successful.

How 
long 
does 
it 
take 
to 
transition to a more independent setting?

It
 depends.

 Each 
individual 
is 
different 
in 
terms 
of 
what 
is 
needed 
at
 the 
time 
of
 placement. 

We 
have 
had
 numerous 
graduations 
to 
date; 
some 
individuals
 graduate
 from
 Level 
4/5 
to 
Level 
3, 
others 
from 
Level
 3 
to 
Level 
1 
or 
out 
in to 
the 
community
 to 
live 
in 
their 
own 
apartment. 

Some 
individuals 
are 
able 
to 
graduate 
in 
less 
than
 one 
year 
and 
others 
need
 three
 to
 five 
years 
to
 obtain
 their 
goals.
 
The 
amount 
of
 time 
depends
 on 
the 
individual’s 
ability 
to 
acquire 
new 
skills, 
develop 
healthy
 routines, 
manage 
medications, 
physical 
health 
and 
develop 
a 
recovery 
idea 
in 
their
 life. 

We 
understand 
this 
concern 
and 
because 
of 
it, 
we 
make 
every 
attempt 
to
 clearly 
lay 
out 
the 
objectives 
on how 
to 
graduate 
from
 the 
program.

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Successful Transitions
as of November 2017

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We are very thoughtful with each transition by making sure that the individual has the right resources and is ready for increased independence, so they can continue to be successful.